3/23/13

ULCERATIVE, VESICULAR, AND BULLOUS LESIONS

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Primary herpetic whitlow on the finger of a dentist

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Primary herpetic whitlow on the finger of a dentist 3/23/13

12-year-old female with primary herpetic gingivostomatis causing discrete vesicles and ulcers surrounded by inflammation

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12-year-old female with primary herpetic gingivostomatis causing discrete vesicles and ulcers surrounded by inflammation

Primary herpes infection in a 17-year-old male. Note the unruptured palatal vesicles and intense marginal gingivitis

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Primary herpes infection in a 17-yearold male. Note the unruptured palatal vesicles and intense marginal gingivitis

Acute marginal gingivitis characteristic of primary HSV infection (mandibular anterior gingiva)

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Acute marginal gingivitis characteristic of primary HSV infection (mandibular anterior

vesicles and inflammation around mandibular molars

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vesicles and inflammation around mandibular molars.

Cytology smear stained with Giemsa, demonstrating multinucleated giant cells

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Cytology smear stained with Giemsa, demonstrating multinucleated giant cells.

cluster of vesicles on the tongue in a patient with herpangina. The patient had lesions of the posterior pharyngeal wall and tonsils, but there was no gingivitis. Coxsackievirus A4 was isolated in tissue culture

3/23/13

A cluster of vesicles on the tongue in a patient with herpangina. The patient had lesions of the posterior pharyngeal wall and tonsils, but there was no gingivitis.

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Herpes zoster of the third division of fifth nerve, right side

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Facial lesions of herpes zoster involving the second division of trigeminal nerve.

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Unilateral palatal lesions of herpes zoster of the second division of trigeminal nerve

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Early vesicular lesions in a patient who develops erythema multiforme after each episode of recurrent herpes labialis

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Target lesion on the arm of the patient with erythema multiforme

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Target lesions in a patient with erythema multiforme

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Labial (A), in a 17-year-old male with StevensJohnson form of erythema multiforme. The lesions began to arise less than 12 hours before the pictures were

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skin (B), and penile (C) lesions in a 17-year-old male with StevensJohnson form of erythema multiforme. The lesions began to arise less than 12 hours before the pictures were

penile (C) lesions in a 17-year-old male with StevensJohnson form of erythema multiforme. The lesions began to arise less than 3/23/13 12 hours before the pictures were

Intraoral lesions of erythema multiforme in an 18-yearold male3/23/13

Contact allergy of the labial mucosa, 3/23/13 due to peppermint

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Plasma cell gingivitis of unknown etiology

Extensive necrosis of the interdental papillae, and marginal and attached gingivae caused by acute necrotizing ulcerative gingivitis

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Cancrum oris or noma. (Courtesy of Dr. Gustavo Berger, Guatemala City, Guatemala).

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Palatal ulceration in a 21-year-old male with fusospirochetal stomatitis, which began as a necrotizing lesion of a pericoronal

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Recurrent aphthous stomatitis of the tongue and floor of the mouth

Major aphthous ulcers of the labial mucosa

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Major aphthous ulcers of the alveolar mucosa

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A 42-year-old woman with a recent increase in severity of recurrent aphthous ulcers. An iron deficiency was detected, and the ulcers resolved when this deficiency was corrected

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Major aphthous ulcer in an HIVinfected patient

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Aphthous-like lesion in a patient with Behets syndrome

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Crusted lesions of recurrent herpes labialis

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Typical lesions of recurrent intraoral herpes simplex virus infection in patients with normal immunity are clusters of small vesicles and

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Histologic picture of pemphigus vulgaris. The bulla is intraepithelial because of acantholysis (32 original magnification).

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A, Shallow irregular erosions on the buccal mucosa and ventral surface of the tongue caused by pemphigus

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Bullae between the fingers of the same patient.

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Chronic palatal lesions of pemphigus

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Histologic picture of bullous pemphigoid. The bulla is subepithelial.(Courtesy of Margaret

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Bullous pemphigoid lesion of

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Histopathology of mucous membrane pemphigoid, demonstrating subepithelial separation at the basement

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Mucous membrane

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Mucous membrane pemphigoid advanced cicatricial pemphigoid of the conjunctiva with symblepharon

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Chronic desquamative gingival lesions of mucous membrane pemphigoid

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Mucous membrane pemphigoid causing scarring of the soft palate

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Palatal lesions of erosive

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Erosive lichen planus of the labial

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Desquamative gingival lesions in a patient with erosive lichen planus.

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Soft medication splint used to treat desquamative gingivitis secondary to erosive lichen planus

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Squamous cell carcinoma forming on the buccal mucosa of a patient with erosive lichen

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This large ulcer of the buccal mucosa was caused by a chronic herpes simplex infection in a kidney transplant patient receiving

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A herpetic ulcer near the eye of the same patient.

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Chronic herpes simplex infection of the palate in a patient taking chemotherapy for acute leukemia

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Traumatic ulcer of the buccal mucosa secondary to cheek biting.

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Palatal ulcer can be the initial sign of Cryptococcus in an AIDS patient.

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Mucormycosis of the palate in a kidney transplant patient taking immunosuppressive drugs (azathioprine and prednisone